Survival of Listeria in processed meat and poultry products
Survival of Listeria in processed meat and poultry products
Survival of Listeria in processed meat and poultry products
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<strong>Listeria</strong> monocytogenes:<br />
behaviour <strong>in</strong> foods<br />
Tom Ross<br />
Food Safety Centre, School <strong>of</strong> Agricultural Science<br />
University <strong>of</strong> Tasmania
overview<br />
• some more epidemiology<br />
– dose-response relationships<br />
– susceptibility<br />
• eco-physiology <strong>in</strong> foods/factories<br />
– growth rates<br />
– growth limits<br />
– effect <strong>of</strong> lactic acid bacteria<br />
– the Hurdle Concept<br />
• predict<strong>in</strong>g growth <strong>and</strong> growth limits under multiple<br />
environmental constra<strong>in</strong>ts<br />
<strong>Listeria</strong> Summit, Sydney, 2010
epidemiology
epidemiology<br />
• 85% <strong>of</strong> cases have known predispos<strong>in</strong>g factors<br />
• very young, old, pregnant, immunocompromised are most<br />
susceptible<br />
• 3 - 10 cases per million per annum <strong>in</strong> developed nations (Oz: 60<br />
- 80 cases/year)<br />
• 25-35% mortality<br />
• virtually all cases believed to be food-borne<br />
<strong>Listeria</strong> Summit, Sydney, 2010
elative susceptibility<br />
Susceptibility relative to<br />
healthy young adult<br />
Transplant recipients 2,584<br />
AIDS patients 865<br />
Pregnant woman 10 - 40<br />
Per<strong>in</strong>atal <strong>and</strong> neonates 839<br />
Dialysis 476<br />
Cancer 70 to 110<br />
Over 65 years 7.5<br />
<strong>Listeria</strong> Summit, Sydney, 2010
chang<strong>in</strong>g epidemiology <strong>in</strong> Australia<br />
<strong>Listeria</strong> Summit, Sydney, 2010
“<strong>in</strong>fectious dose”
dose-response<br />
• methods <strong>of</strong> estimation<br />
– no ‘volunteer’ trials<br />
– animals models (rats, pregnant rhesus monkeys, pregnant gu<strong>in</strong>ea pigs)<br />
– epidemiology<br />
– “reverse” exposure assessment<br />
• <strong>in</strong>fectious dose varies<br />
– by consumer<br />
– by stra<strong>in</strong><br />
– by cell ‘history’ (food type, food process<strong>in</strong>g)<br />
<strong>Listeria</strong> Summit, Sydney, 2010
dose-response (modelled)<br />
• FAO/WHO risk assessment:<br />
– * ID 50 > 10 9 cells (transplant patients) i.e. >10 7 cfu.g -1 <strong>in</strong> a 100 g meal<br />
– * ID one <strong>in</strong> a million > 1,600 L. monocytogenes cells (transplant patients)<br />
– * ID 50 > 10 12 cells (non-susceptible consumer) i.e. >10 10 cfu.g -1 <strong>in</strong> a 100 g<br />
meal<br />
• comb<strong>in</strong>ation <strong>of</strong> stra<strong>in</strong> virulence <strong>and</strong> host susceptibility means <strong>in</strong>fectious dose can vary one<br />
million-fold<br />
<strong>Listeria</strong> Summit, Sydney, 2010
dose-response (pregnant animals)<br />
• Smith et al. (2003, 2008) - pregnant monkeys, virulent stra<strong>in</strong>s<br />
– LD 50 lower = 3.63 x 10 6 , LD 50 upper = 4.27 x 10 8<br />
• Williams et al. (2007) - pregnant gu<strong>in</strong>ea pigs<br />
– LD 50 lower = 3.52 x 10 6 , LD 50 upper = 1.13 x 10 8<br />
– (n.b gu<strong>in</strong>ea pigs have been identified as the small animal <strong>of</strong> choice for L. monocytogenes studies<br />
because <strong>of</strong> the E-cadher<strong>in</strong> molecule which <strong>in</strong>teracts with the <strong>in</strong>ternal<strong>in</strong> prote<strong>in</strong> <strong>of</strong> L.<br />
monocytogenes)<br />
<strong>Listeria</strong> Summit, Sydney, 2010
Dose response <strong>of</strong> L. monocytogenes-<strong>in</strong>duced foetal mortality <strong>in</strong> gu<strong>in</strong>ea pigs <strong>and</strong><br />
nonhuman primates. (Williams et al., Risk Analysis, 29: 2009).
the problem <strong>of</strong> listeriosis
the problem <strong>of</strong> listeriosis<br />
• very common <strong>in</strong> wet environments<br />
• difficult to elim<strong>in</strong>ate from RTE foods*: many RTE foods<br />
(<strong>in</strong>frequently) contam<strong>in</strong>ated<br />
• grows <strong>in</strong> long shelf life, refrigerated, ready-to-eat foods even<br />
when properly packaged <strong>and</strong> stored<br />
• probability <strong>of</strong> illness <strong>in</strong>creases with concentration, <strong>and</strong><br />
frequency, <strong>of</strong> contam<strong>in</strong>ation (i.e. with <strong>in</strong>creased shelf life,<br />
reduced preservative use)<br />
<strong>Listeria</strong> Summit, Sydney, 2010
excitement about <strong>in</strong>ternal<strong>in</strong>s<br />
• <strong>in</strong>ternal<strong>in</strong>s are essential for <strong>Listeria</strong> virulence<br />
• several groups reported that <strong>in</strong> some avirulent (non-pathogenic)<br />
mutants, there are ‘stop’ codons half-way along the <strong>in</strong>ternal<strong>in</strong><br />
gene<br />
• suggests that specific stra<strong>in</strong>s <strong>of</strong> L. monocytogenes aren’t a<br />
public health threat<br />
• the mutation can easily be detected (with PCR)<br />
• <strong>in</strong>ference: some L. monocytogenes <strong>in</strong> foods can ignored<br />
<strong>Listeria</strong> Summit, Sydney, 2010
excitement about <strong>in</strong>ternal<strong>in</strong>s<br />
• <strong>in</strong>ternal<strong>in</strong>s are essential for <strong>Listeria</strong> virulence<br />
• several groups reported that <strong>in</strong> some avirulent (non-pathogenic)<br />
mutants, there are ‘stop’ codons half-way along the <strong>in</strong>ternal<strong>in</strong><br />
gene<br />
• suggests that specific stra<strong>in</strong>s <strong>of</strong> L. monocytogenes aren’t a<br />
public health threat<br />
• the mutation can easily be detected (with PCR)<br />
• <strong>in</strong>ference: some L. monocytogenes <strong>in</strong> foods can ignored<br />
• not that easy - there are many <strong>in</strong>ternal<strong>in</strong>s (see Liu et al. 2007, Int<br />
J Food Micro, 118:101-115)<br />
<strong>Listeria</strong> Summit, Sydney, 2010
excitement about ‘l<strong>in</strong>eages’<br />
• three genetic l<strong>in</strong>eages discernable<br />
• l<strong>in</strong>eage 1 most <strong>of</strong>ten <strong>in</strong>volved <strong>in</strong> human illness, most outbreaks<br />
• l<strong>in</strong>eage 1 (serotypes: 1/2b, 3b, 4b, c, d)<br />
• most stra<strong>in</strong>s <strong>in</strong> food are l<strong>in</strong>eage 2<br />
• suggests that specific stra<strong>in</strong>s <strong>of</strong> L. monocytogenes are less <strong>of</strong> a<br />
health threat<br />
• “all L. monocytogenes … should be regarded as potentially<br />
pathogenic” (EFSA, 2007)<br />
<strong>Listeria</strong> Summit, Sydney, 2010
eco-physiology
ecology<br />
• asymptomatic carriage <strong>in</strong> humans, animals<br />
• is essentially a saprophyte, thus…<br />
• survives, grows <strong>in</strong> moist <strong>and</strong> cool environments - natural or manmade,<br />
with pre-formed nutrients<br />
• colonises factories from whence it contam<strong>in</strong>ates foods after<br />
process<strong>in</strong>g<br />
• can grow <strong>in</strong> hard-to-access niches<br />
• can form bi<strong>of</strong>ilms that enhance resistance to clean<strong>in</strong>g (physical,<br />
chemical)
growth limits<br />
• aerobic, facultatively anaerobic<br />
• temperature growth range -2 to 45°C<br />
• readily killed by heat (not unusually heat tolerant)<br />
• salt tolerant<br />
• up to 600MPa hydrostatic pressure<br />
<strong>Listeria</strong> Summit, Sydney, 2010
approximate doubl<strong>in</strong>g times<br />
Temperature (°C) no ‘preservatives’ “typical” <strong>processed</strong><br />
<strong>meat</strong><br />
( e.g sliced ham)<br />
35 45 m<strong>in</strong> 1.5 h<br />
25 90 m<strong>in</strong> 3 h<br />
15 4 h 9 h<br />
10 8 h 17 h<br />
6 17 h 34 h<br />
4 28 h 61 h<br />
2 60 h 120 h<br />
<strong>Listeria</strong> Summit, Sydney, 2010
growth limits<br />
• salt (a w range 0.92 - 0.999 = up to 12-13% NaCl)<br />
• pH range (4.3 - > 7 (to 9.5)); less <strong>in</strong> the presence <strong>of</strong> organic acids<br />
• lactic acid (up to ~4mM, undissociated)<br />
• acetic acid (up to ~5mM, undissociated)<br />
• nitrite (up to 350 ppm)<br />
• phenol (32 ppm)<br />
<strong>Listeria</strong> Summit, Sydney, 2010
The Hurdle Effect<br />
• comb<strong>in</strong>ed factors reduce growth limits for any one factor<br />
<strong>Listeria</strong> Summit, Sydney, 2010
The Hurdle Effect<br />
<strong>Listeria</strong> Summit, Sydney, 2010
as a rule <strong>of</strong> thumb ….<br />
• if vegetative bacterial cells aren’t grow<strong>in</strong>g,<br />
they are dy<strong>in</strong>g ….<br />
• but rates <strong>of</strong> (non-thermal) death are slow <strong>and</strong><br />
much slower at chill temperatures<br />
<strong>Listeria</strong> Summit, Sydney, 2010
Lactates <strong>and</strong> Diacetates<br />
• much research<br />
– broths<br />
– challenge studies <strong>in</strong> product with “natural” microbiota<br />
• <strong>in</strong>creases lag, slows growth rate<br />
• may prevent growth at 4°C, but less certa<strong>in</strong> at higher<br />
temperatures<br />
• effect greatly enhanced at pH < 6<br />
<strong>Listeria</strong> Summit, Sydney, 2010
Role <strong>of</strong> Lactic Acid Bacteria<br />
• can be an additional hurdle<br />
• “Jameson” effect<br />
10.0<br />
9.0<br />
8.0<br />
7.0<br />
6.0<br />
5.0<br />
4.0<br />
3.0<br />
2.0<br />
1.0<br />
0.0<br />
0 10 20 30 40 50 60 70 80 90 100 110<br />
lactic acid bacteria<br />
total count<br />
L. monocytogenes<br />
Time (days) <strong>Listeria</strong> Summit, Sydney, 2010
10<br />
9<br />
8<br />
lactic acid bacteria<br />
7<br />
6<br />
5<br />
4<br />
L. monocytogenes<br />
3<br />
2<br />
1<br />
0<br />
0 10 20 30 40 50 60 70<br />
time (days)<br />
10<br />
9<br />
8<br />
lactic acid bacteria<br />
7<br />
6<br />
5<br />
4<br />
3<br />
2<br />
L. monocytogenes<br />
1<br />
0<br />
0 10 20 30 40 50 60 70<br />
time (days)
Growth <strong>in</strong> <strong>processed</strong> chicken product <strong>in</strong> the<br />
absence <strong>of</strong> lactic acid bacteria<br />
10.0<br />
9.0<br />
8.0<br />
7.0<br />
6.0<br />
5.0<br />
4.0<br />
3.0<br />
2.0<br />
1.0<br />
0.0<br />
lactic acid bacteria<br />
total count<br />
L. monocytogenes<br />
0 10 20 30 40 50 60 70 80<br />
Time (days)
predict<strong>in</strong>g growth rates <strong>and</strong> formulations<br />
Mejholm <strong>and</strong> Dalgaard (2007). Model<strong>in</strong>g <strong>and</strong> predict<strong>in</strong>g the growth<br />
boundary <strong>of</strong> L. monocytogenes <strong>in</strong> lightly preserved seafoods. Journal <strong>of</strong><br />
Food Protection, 70: 70-84.<br />
predictor variables:<br />
pH, water activity, lactate, diacetate, nitrite, smoke<br />
compounds, temperature, lactic acid bacteria<br />
<strong>in</strong>ternet accessible:<br />
www.dfu.m<strong>in</strong>.dk/micro/sssp/<br />
Meet<strong>in</strong>g details.
<strong>Listeria</strong> Summit, Sydney, 2010
summary<br />
• despite variability between stra<strong>in</strong>s, L. monocytogenes has a relatively<br />
high “<strong>in</strong>fectious dose”<br />
• many authorities now consider that a dose <strong>of</strong> up to 10000 cells, or<br />
100cfu/g, is acceptable risk, even for the most susceptible members <strong>of</strong><br />
the community<br />
• tools, technologies are available to<br />
– assess the risk from various <strong>products</strong> <strong>and</strong><br />
– to limit growth, <strong>and</strong> to m<strong>in</strong>imise contam<strong>in</strong>ation<br />
<strong>in</strong> a rational way so that an <strong>in</strong>creased tolerance can be managed to<br />
improve public health<br />
Meet<strong>in</strong>g details.
useful reviews<br />
• FAO/WHO (Food <strong>and</strong> Agriculture Organisation/World Health Organisation <strong>of</strong> the<br />
UN) (2004).<br />
• ILSI (International Life Sciences Institute) (2005). Achiev<strong>in</strong>g Cont<strong>in</strong>uous<br />
Improvement <strong>in</strong> Reductions <strong>in</strong> Listeriosis — A Risk-Based Approach. Journal <strong>of</strong><br />
Food Protection, 68:1932–1994.<br />
• EFSA (European Food Safety Authority). (2007). Request for updat<strong>in</strong>g the<br />
former SCVPH op<strong>in</strong>ion on <strong>Listeria</strong> monocytogenes risk related to ready-to-eat<br />
foods <strong>and</strong> scientific advice on different levels <strong>of</strong> <strong>Listeria</strong> monocytogenes <strong>in</strong><br />
ready-to-eat foods <strong>and</strong> the related risk for human illness. The EFSA Journal,<br />
599:1-42<br />
Meet<strong>in</strong>g details.
acknowledgements<br />
• Ian Jenson, Meat <strong>and</strong> Livestock Australia<br />
• Food <strong>and</strong> Agriculture <strong>and</strong> World Health Organisations<br />
• New South Wales Food Authority<br />
<strong>Listeria</strong> Summit, Sydney, 2010
thank you for your attention